Individual
MICHAEL DICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8945 GUILFORD RD, COLUMBIA, MD 21046-2659
(240) 605-0489
Mailing address
10216 INDIAN SUMMER CT, BOWIE, MD 20721-3178
(240) 605-0489
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN1047223
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R224806
MD
Other
Enumeration date
05/24/2023
Last updated
08/24/2023
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